Quitting for fellowship

[ThoracicGuy]

Well my family is here and so is my husband's family.

I know family is important, but unless you have small children that yours or his family is caring for on a daily basis, considering other locations, particularly if they are in an easy driving distance, is something to think about.

If you have a better market 2-3 hours away, that's a trip you could easily make on a weekend if you wanted.

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[Piebaldi]

I know family is important, but unless you have small children that yours or his family is caring for on a daily basis, considering other locations, particularly if they are in an easy driving distance, is something to think about.

If you have a better market 2-3 hours away, that's a trip you could easily make on a weekend if you wanted.

Yes, but it's easier said than done. While the job certainly is not great, it is higher paying than the other few jobs in my specialty in this area, and I am paid more than a number of numerous of my classmates in less competitive areas. I also only do call 1x/month unlike other classmates who are doing q2 or q3 weekends, I have full hospitalist/specialist support so that I don't ever go in during emergencies or at night, and if I were to work more would likely hit bonus. The biggest drawbacks of this job are the lack of 401k, the fact that I would not be a partner ever, but then again many physicians are employed, the fact that we don't have a post call day off.

 

[doc05]

Yes, but it's easier said than done. While the job certainly is not great, it is higher paying than the other few jobs in my specialty in this area, and I am paid more than a number of numerous of my classmates in less competitive areas. I also only do call 1x/month unlike other classmates who are doing q2 or q3 weekends, I have full hospitalist/specialist support so that I don't ever go in during emergencies or at night, and if I were to work more would likely hit bonus. The biggest drawbacks of this job are the lack of 401k, the fact that I would not be a partner ever, but then again many physicians are employed, the fact that we don't have a post call day off.

If you don't ever go in during emergencies or at night, then why do you need a post-call day off??

What is your specialty? Are we all missing something here?

 

[Piebaldi]

If you don't ever go in during emergencies or at night, then why do you need a post-call day off??

What is your specialty? Are we all missing something here?

Because we cover the weekends - both days - so it turns out to be 2 complete working weeks with no days off.

 

[rokshana]

Because we cover the weekends - both days - so it turns out to be 2 complete working weeks with no days off.

while it still sounds like a crappy job, that's not that unusual. GIM attendings do that at a lot of places.

 

[Piebaldi]

while it still sounds like a crappy job, that's not that unusual. GIM attendings do that at a lot of places.

GIM or hospitalists typically only work 2 weeks/month. We work the whole month, including 2 whole weeks. I do not know of any other group that works like mine. Not sure what you mean.

 

[BoardingDoc]

GIM or hospitalists typically only work 2 weeks/month. We work the whole month, including 2 whole weeks. I do not know of any other group that works like mine. Not sure what you mean.

You're saying that you are seeing patients for all but 4 days a month? E.g. you're physically in clinic/the hospital for 14 straight days in a row, and then 5 days a week for the other 2 weeks?

 

[Piebaldi]

You're saying that you are seeing patients for all but 4 days a month? E.g. you're physically in clinic/the hospital for 14 straight days in a row, and then 5 days a week for the other 2 weeks?

I am in the hospital or other facilities from M-Sunday on call weeks, and then the entire following M-F. After that the following 2 weeks are M-F. So 6days off/month.

 

[BoardingDoc]

I am in the hospital or other facilities from M-Sunday on call weeks, and then the entire following M-F. After that the following 2 weeks are M-F. So 6days off/month.

Still, screw that. That schedule would be completely reasonable... as a resident. As an attending? Hell no.

 

[Piebaldi]

Still, screw that. That schedule would be completely reasonable... as a resident. As an attending? Hell no.

Exactly my point. So if I am covering a whole weekend, then I should be getting that Monday off no? That's why I think it's ridiculous when people say oh that's no unsuaul.

It should be Monday-Sunday on call weeks, then the following Monday off, then Tuesday-Friday, no?

 

[doc05]

Exactly my point. So if I am covering a whole weekend, then I should be getting that Monday off no? That's why I think it's ridiculous when people say oh that's no unsuaul.

It should be Monday-Sunday on call weeks, then the following Monday off, then Tuesday-Friday, no?

Not necessarily. I don't get "post-call" days off, and I'm frequently operating all night when on call.

You should find an academic job with resident support. I think that will be more suitable for your lifestyle goals.

 

[Piebaldi]

Not necessarily. I don't get "post-call" days off, and I'm frequently operating all night when on call.

You should find an academic job with resident support. I think that will be more suitable for your lifestyle goals.

Not necessarily. I don't get "post-call" days off, and I'm frequently operating all night when on call.

You should find an academic job with resident support. I think that will be more suitable for your lifestyle goals.

No I would hate to deal with residents.

 

[rokshana]

GIM or hospitalists typically only work 2 weeks/month. We work the whole month, including 2 whole weeks. I do not know of any other group that works like mine. Not sure what you mean.

really? you think that GIM attendings ONLY work 2 weeks a month?? smh

 

[Piebaldi]

really? you think that GIM attendings ONLY work 2 weeks a month?? smh

Hospitalists work 1 week on, 1 off. So yes 2 weeks/month. I don't know what smh means.

 

[gutonc]

Exactly my point. So if I am covering a whole weekend, then I should be getting that Monday off no? That's why I think it's ridiculous when people say oh that's no unsuaul.

It should be Monday-Sunday on call weeks, then the following Monday off, then Tuesday-Friday, no?

I'm pretty sure that nobody here is your boss. Not sure why you're getting so upset/worked up with people here.

Besides...you got a fellowship, you gave your notice, you're quitting the (really s****y) job you have. Problem solved.

 

[Piebaldi]

I'm pretty sure that nobody here is your boss. Not sure why you're getting so upset/worked up with people here.

Besides...you got a fellowship, you gave your notice, you're quitting the (really s****y) job you have. Problem solved.

What part of my job do you consider crummy? I like to hear different perspectives.

 

[rokshana]

Hospitalists work 1 week on, 1 off. So yes 2 weeks/month. I don't know what smh means.

No, GIM attending when they do in patient service will do 2 weeks in a row but being in the hospital is only part of their job...the usually have clinic everyday as well as rounding and teaching residents...their clinic is usually abbreviated to just 1 clinic session or shortened by a few hours but still have clinic. And on the off service days they have clinic sessions, whether their own or the residents’clinics. They are also responsible for mentoring morning reports, doing noon conferences, and then never mind the committee meetings that are required of Attendings...you really thought the rounded for a couple of hours a day for 2 weeks and that was it? What specialty are you that you don’t have interactions with medicine people?

And I take you have never worked as a hospitalist...it is not always just round and go...potentially you are at the hospital for 84 hours in a 7 day period with little down time...14 days would be beyond crazy if it’s a busy place and no cake walk.

We all agree here that your first job out was crappy and a poor choice , but please...don’t make it sound like you are you are the first to get a raw deal.

Keep your head down for the next few months and know it’s temporary....though I can’t image that fellowship is going to be somehow a cush jig...

 

[Piebaldi]

No, GIM attending when they do in patient service will do 2 weeks in a row but being in the hospital is only part of their job...the usually have clinic everyday as well as rounding and teaching residents...their clinic is usually abbreviated to just 1 clinic session or shortened by a few hours but still have clinic. And on the off service days they have clinic sessions, whether their own or the residents’clinics. They are also responsible for mentoring morning reports, doing noon conferences, and then never mind the committee meetings that are required of Attendings...you really thought the rounded for a couple of hours a day for 2 weeks and that was it? What specialty are you that you don’t have interactions with medicine people?

And I take you have never worked as a hospitalist...it is not always just round and go...potentially you are at the hospital for 84 hours in a 7 day period with little down time...14 days would be beyond crazy if it’s a busy place and no cake walk.

We all agree here that your first job out was crappy and a poor choice , but please...don’t make it sound like you are you are the first to get a raw deal.

Keep your head down for the next few months and know it’s temporary....though I can’t image that fellowship is going to be somehow a cush jig...

In my institution, hospitalists work 7 days on and 7 off. I am sure the "on" days are pretty brutal without a doubt. But the off days are quite nice.

 

[dpmd]

Still, screw that. That schedule would be completely reasonable... as a resident. As an attending? Hell no.

Really depends on how much there is to do each day. Sometimes I work every day for weeks but it is just an hour or two each day so that isn't too difficult

 

[Piebaldi]

Really depends on how much there is to do each day. Sometimes I work every day for weeks but it is just an hour or two each day so that isn't too difficult

Not here. I have never just worked 1 or 2 hours each day.

 

[dpmd]

Not here. I have never just worked 1 or 2 hours each day.

Just saying there is the residency 12 to 30 hr days you might power through for 2 weeks to preserve golden weekends and then there are other possibilities that aren't as strenuous, so immediately judging it as awful isn't possible without more info.

 

[gutonc]

What part of my job do you consider crummy? I like to hear different perspectives.

Pretty much all of it sounds like it sucks.

The fact that you've avoided telling us the specialty makes it a little harder to figure out just how hard it sucks compared to other jobs in the specialty...but it definitely sucks.

 

[Piebaldi]

Pretty much all of it sounds like it sucks.

The fact that you've avoided telling us the specialty makes it a little harder to figure out just how hard it sucks compared to other jobs in the specialty...but it definitely sucks.

Because...?

 

[doc05]

Because...?

Because every specialty is different.

As to why your job is bad, we've been through that topic already.

 

[gutonc]

Because...?

If you're going to just troll, I hear Reddit is a cool place.

 

[anonperson]

Because...?

You just told us your job sucks. Why are you harping on everyone explaining why it sucks?


Here let me list it:

1. Little time off
2. No reasonable way to schedule PTO
3. Salaried position with little chance for productivity bonuses
4. Employer not paying your tail
5. Unstable work environment
6. No retirement plan
7. Restrictive covenant in your contract

Should I go on ?

You sound like the type of person who calls someone and then asks who it is on the other line, even though you initiated the call.

 

[jhamaican]

You don't owe them anything.

You work, They pay.

I don't understand why you felt the need to made this thread.

Say bye and go to fellowship

 

[Piebaldi]

You don't owe them anything.

You work, They pay.

I don't understand why you felt the need to made this thread.

Say bye and go to fellowship

I don't know, because I will be at the job less than a year, and I felt bad. I have given my notice and will go to fellowship. I have the feelings I have. I don't think there is anthing wrong with me making this thread though.

 

[jhamaican]

I don't know, because I will be at the job less than a year, and I felt bad. I have given my notice and will go to fellowship. I have the feelings I have. I don't think there is anthing wrong with me making this thread though.

I agree. I don't have a problem with you making the thread, just don't know why you made it.

Do you think the owner of the practice for feels bad when they collect a fat check each month from all the hours YOU are working?

If I were you, I would feel mad, not bad, at being taken advantage of.

You do not owe him or her anything. I would not be rude when you leave of course, and it sounds like left very professionally. But time to move on.

Consider it an educational opportunity.

 

[GMO2003]

I started a new job after residency. Did not like the job. Decided to go into fellowship. Applied for and was offered fellowship which I accepted. I emailed my boss to give notice, boss says that they did not get the email. I talked to them about pursuing my dreams professionally, and gave them about 4months notice or so. Boss did not seem happy. I feel kind of bad. At the same time the job is far from what I thought would be. My schedule changes daily - there isn't a set schedule from week to week. Sometimes I cover 3 different facilities/hospitals in the same week. I have to learn 18-20 new patients daily at times. When I cover weekends I get no post call day off, so I essentially work 2 weeks straight with no break which for me is a killer. For vacations it seems that the requests have to be put in months in advance. I get no 401k. I don't want to in any way cause damage to the group but at the same time feel that the position was not as advertised. Numerous physicians have quit over the years. There is like a 20% attrition rate. Most recently someone who has been there a number of years also resigned/took a break. I know a number of other youngish recent grads that have all quit within 1 year. I also had a very critical situation with a family member so i asked for a few days off, which ultimately ended up being 1 day. Boss made me feel kind of bad about it telling me that the job is important, bla bla and reliability bla bla.
What else could I have done? Sorry for the long post guys.

Sounds like a terrible job...I'd quit that in a heart beat

 

[Piebaldi]

Sounds like a terrible job...I'd quit that in a heart beat

Thanks. Man this year has sucked for me. Job sucks. I moved back to within an hour of where I spent a large part of my life but given that I was out of the state for training for years know no one so I feel super lonely. Sucks thanks guys.

Further think about the fact that - where would I work if it were not for this job? There arent any other reasonable jobs out here for my specialty.

At least my parents are close by. Should I go somewhere else where I am completely alone?

 

[BoardingDoc]

Further think about the fact that - where would I work if it were not for this job? There arent any other reasonable jobs out here for my specialty.

At least my parents are close by. Should I go somewhere else where I am completely alone?

You just said you were going to fellowship and accepted somewhere. It seems your travel plans are set.

If you're asking what you should do afterwards: if there aren't any other jobs in your current area then yes, it is abundantly obvious that you should move. I feel like this thread has become less about you asking legitimate questions and more looking for a support group.

 

[Piebaldi]

You just said you were going to fellowship and accepted somewhere. It seems your travel plans are set.

If you're asking what you should do afterwards: if there aren't any other jobs in your current area then yes, it is abundantly obvious that you should move. I feel like this thread has become less about you asking legitimate questions and more looking for a support group.

No my plans for fellowship are set. But beating a dead horse that my job is not ideal is not helpful.

 

[BoardingDoc]

No my plans for fellowship are set. But beating a dead horse that my job is not ideal is not helpful.

Then why do you post stuff like this?

What part of my job do you consider crummy? I like to hear different perspectives.

I think everyone here agrees that you should go to fellowship and quit your current job. You will then obviously need to find a new job. I think this thread has run its course. Mods?

 

[Piebaldi]

Then why do you post stuff like this?



I think everyone here agrees that you should go to fellowship and quit your current job. You will then obviously need to find a new job. I think this thread has run its course. Mods?

Agreed. And yes it has run its course.

 

[chocomorsel]

What a whiney thread. Entertaining simply because it’s whiney.

 

[Piebaldi]

I'm going to piggy back on my own thread to ask the following - so at this gig I have as mentioned 3 weeks of vacation, and then I also have 1 week of CME.

If I am going to work essentially 8 months here, what would be a reasonable amount of time off that I should be allowed?
I am thinking 3 weeks off. Thoughts?

 

[rokshana]

I'm going to piggy back on my own thread to ask the following - so at this gig I have as mentioned 3 weeks of vacation, and then I also have 1 week of CME.

If I am going to work essentially 8 months here, what would be a reasonable amount of time off that I should be allowed?
I am thinking 3 weeks off. Thoughts?

Is this a job or fellowship? If fellowship, then you will get the full time allotted...if a job then it may be prorated base on time and if you are there 2/3of a year you would get 2/3 the time off...ie 2 weeks of vacation and what? 3-4 days of cme?

 

[Piebaldi]

Is this a job or fellowship? If fellowship, then you will get the full time allotted...if a job then it may be prorated base on time and if you are there 2/3of a year you would get 2/3 the time off...ie 2 weeks of vacation and what? 3-4 days of cme?

For my current job - as mentioned I have 3 weeks vacay, 1 CME. I will have worked 8 months by the time I leave for fellowship.

So givne that I won't be there the whole year - I am assuming that 3 weeks is what I should be entiteld.

 

[dpmd]

For my current job - as mentioned I have 3 weeks vacay, 1 CME. I will have worked 8 months by the time I leave for fellowship.

So givne that I won't be there the whole year - I am assuming that 3 weeks is what I should be entiteld.

Does your contract indicate how vacation and cme time is earned? If not I would probably say **** it and use every bit of it.

 

[Piebaldi]

Does your contract indicate how vacation and cme time is earned? If not I would probably say **** it and use every bit of it.

Actually you are right now that you mention it - yes, it says you accrue x amount per x timeframe. I have worked almost (in a few days!) about 5 months and have only taken 4 days off.

You are brilliant!